Peyronie’s disease, also known as Acquired Penile Curvature, is one of the main causes for the penis to bend. This anatomical problem is caused by a scar on the tunica albuginea - the tissue covering the erection mechanism of the penis - and tends to reduce the elasticity of penile tissues and bend it sideways, up or downwards. In more severe cases, for example, the penis gets to form an 'L' because of its tortuosity.
This condition directly affects the sexual life of the man and his partner. Although it usually happens with men over the age of 40, it is important to be aware of their causes regardless of age. The more information about its prevention, the lower the risks of acquiring it.
Studies show that Peyronie's Disease has several different causes. Many of them can be perceived with a self-evaluation, while others can be only diagnosed with urologic examination. Visiting an urologist for a preventive evaluation is the best way to ensure the health of your penis.
Here are some factors that can cause Peyronie's Disease.
In most cases, Peyronie is linked to an erection problem, which may be associated with the advancing age, hormonal imbalance, or other conditions that hinder the flow of blood into the penis.
The poor quality of the erection during the sexual act predisposes the occurrence of traumas and micro traumas during the penetration, causing the formation of fibroses and deformities that may directly affect in the anatomy of the penis and aggravate the existing erectile dysfunction.
Get to know more about how trauma and penile fractures can lead to Peyronie in the next topic.
Trauma and fractures in the penis
The incidence of traumas to the penis may cause the formation of penile fibrosis, as well as when the impact is stronger and result in a penile fracture, causing pain and discomfort that can lead you to the hospital. This usually happens during the sexual act, especially when the man is in a position that does not allow him to control the movements.
The awareness of the movements and the use of artificial lubrication are essential for everything to flow as it should during sex. Situations like this are more common when there is a problem of erection or lack of firmness in the penis, but it can also happen when the penis is perfectly erect. That is why it is essential to be cautious.
Congenital Penile Curvature
Unlike Acquired Penile Curvature, Congenital Curvature has genetic origins and is usually noticed at the onset of puberty when the first erections occur.
Often tortuosity does not hinder sexual intercourse, but it turns the penis more vulnerable to trauma. Therefore caution with the movements and correct lubrication must be reinforced.
If the penis often escapes, it is a sign that the curvature is interfering and the possibility of trauma and fractures increase, which will lead to the formation of fibrosis. Pay attention to your performance and send a message through this link if something similar is happening to you. My team and I will give you all the necessary instructions for your treatment, considering the specificities of your case.
Diabetes and the cicatrization problem
Men with diabetes should be extra careful with Peyronie. This is because the high levels of glucose in the blood causes damage to the functioning of the blood vessels, which favors the appearance of fibrosis without there being a trauma to the penis, besides making the cicatrization process difficult and being the main cause of erectile dysfunction.
A good erection is directly related to the blood flow inside the penis, this is why it is important to control the disease so that the blood vessels and nerves that are responsible for sensitivity in the genital area remain healthy.
Surgeries in the prostate and the consequences for the health of the man
Treatment for prostate cancer can involve surgery, radiotherapy, brachytherapy or hormone therapy, depending on the case. These treatments, however, may turn the man more susceptible to acquiring Peyronie because they can have consequences such as erectile dysfunction and the appearance of fibrosis in the penis.
That is why it is important to treat the consequences caused by prostate cancer, such as loss of stiffness, size and caliber of the penis, as they contribute to the appearance of penile deformities and the progressive worsening of Peyronie's disease.
The relation between penile fibrosis and Peyronie
You may have noticed that there is a common factor among different causes that lead to the appearance of Peyronie: the formation of a penile fibrosis.
Fibrosis is a plaque or nodule formed on the penile membrane that may be caused by trauma, fracture, scarring and blood circulation issues in the penis. It is primarily responsible for the difference in elasticity of penile tissues, which will provoke its tortuosity and bring on other difficulties, which are often followed by a thinning or decreasing size of the penis.
Therefore, when seeking treatment, it is important to check if the doctor is considering all the problems recurrent of fibrosis before he suggests solution for Peyronie, which may be a surgery or medications depending on each case.
When experiencing difficulty or even pain during intercourse, consult with an urologist for a face-to-face assessment to receive other important guidelines.
If you think you have already had some kind of penile fracture or if your curvature is getting worse and disrupts your sex life, contact us so we can start a conversation.
Dr. Paulo Egydio
MD, PhD, Referência Mundial no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482.